RESUMO
An original method of plastic closing the fascial defects with the polymer tissue was used in 5 patients with true muscular hernias of the extremities. In all cases good anatomo-functional and cosmetic results were obtained.
Assuntos
Herniorrafia , Doenças Musculares/cirurgia , Adulto , Braço , Avaliação da Deficiência , Terapia por Exercício , Fáscia/lesões , Fasciotomia , Seguimentos , Hérnia/etiologia , Humanos , Perna (Membro) , Masculino , Bandas de Matriz , Músculo Esquelético/lesões , Músculo Esquelético/cirurgia , Doenças Musculares/etiologia , Polietilenotereftalatos , Próteses e Implantes , Transplante de Pele , Fatores de TempoRESUMO
Curative tactics in operative treatment of not fresh and longstanding injuries of the Achilles tendon with biocompatible artificial materials are discussed. Expediency of performing surgical interventions under conditions of conductive anesthesia is noted when using a Z-shaped access. An original operative technique is described. In 16 patients with subcutaneous ruptures of the Achilles tendon who were treated by the proposed curative method the supporting ability of the foot was recovered within 2-3 months after operation.
Assuntos
Tendão do Calcâneo/lesões , Tendão do Calcâneo/cirurgia , Ferimentos não Penetrantes/cirurgia , Adulto , Anestesia por Condução , Humanos , Ligadura/métodos , Masculino , Pessoa de Meia-Idade , Polietilenotereftalatos , Cuidados Pós-Operatórios/métodos , Próteses e Implantes , Indução de Remissão , Técnicas de SuturaRESUMO
Under study there were 278 patients with 285 subcutaneous ruptures of tendons and muscles of the upper and lower extremities. The tendon of the long head of the humeral biceps muscle and Achilles tendon are most liable to subcutaneous ruptures (123 patients--43.2% and 97 patients--34% respectively). Pathohistological examinations have shown that subcutaneous ruptures of tendons and muscles usually take place against the background of dystrophic alterations reducing their mechanical strength. The authors find it expedient to use polymer materials (kapron, lavsan) for the restoration of injured tendons and muscles.